Individual provider Active NPI

Stewart Johnson, LCSW

  • Clinical Social Worker
  • McMurray, PA
National Provider Identifier
1316959174
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014079 Issued in PA
Practice address
4150 Washington Rd
Suite 105
McMurray, PA 15317-2534
Phone
(724) 941-1120
Fax
(724) 941-0993
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW014079 PA Primary

Addresses

Primary practice location

4150 Washington Rd
Suite 105
McMurray, PA 15317-2534

Mailing address

4150 Washington Rd
Suite 105
McMurray, PA 15317-2534
Phone (724) 941-1120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060308000071 PA Practitioner - Clinical Social Worker 9234146812 Practice locations: MC Murray, PA; Waynesburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
West Virginia University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4150 Washington Rd
MC Murray, PA 15317-2534
Phone (724) 941-1120

54 N Richhill St
Waynesburg, PA 15370-1306
Phone (724) 627-3263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Ann Crabtree Past Accepting new patients
Bluestem Behavioral Health Group LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316959174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 WASHINGTON RD",
            "address_2": "SUITE 105",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "153172534",
            "telephone_number": "724-941-1120",
            "fax_number": "724-941-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 WASHINGTON RD",
            "address_2": "SUITE 105",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "153172534",
            "telephone_number": "724-941-1120",
            "fax_number": "724-941-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEWART",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMurray, PA

Sources for this page

Verify at the official NPI Registry.